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01-10-2020 | Original Paper

Development and Evaluation of a Mental Health Training Program for Community Health Workers in Indonesia

Authors: Ariana Marastuti, M. A. Subandi, Sofia Retnowati, Carla R. Marchira, Courtney M. Yuen, Byron J. Good, Mary-Jo D. Good

Published in: Community Mental Health Journal | Issue 7/2020

Abstract

The treatment gap in mental health care in Indonesia is a critical issue due in large measure to the dearth of professional mental health staff. In response to this need, our team designed a mental health training program for existing community health workers. The training program was offered to 65 participants at 2 (two) community primary care center (Puskesmas); we evaluated the training program with quantitative and qualitative methods. We assessed the gains in knowledge using a 20-question knowledge assessment test. In addition, in Puskesmas 1, the test was repeated as a follow-up test 4 months after the training. Statistical analysis showed that the differences between pre-test and post-test scores were significant in both Puskesmas 1 (p = 0.004) and Puskesmas 2 (p < 0.001). This study concluded that the model of integrative training appears effective for preparing Indonesian CHWs to recognize and respond to needs for mental health care.

Thirty two of registered psychologist work in primary care services—Puskesmas.

Trained nurses are called as the Community Mental Health Nursing (CMHN), they provide services at primary care unit. There are three levels of training (Basic, Intermediate and Advance), but there are no accurate data about who receive training at Intermediate and Advance training.

Indonesian Mental health Law 2014 (UU No 18 tahun 2014).

Ministry of Health Regulation on universal coverage (Peraturan Menteri Kesehatan 59 tahun 2014 tentang standar tariff pelayanan kesehatan dalam penyelenggaraan program jaminan kesehatan).

Psychologist in Indonesia can either be a graduated of bachelor degree in Psychology with one year additional course or master in applied psychology (3 concentrations: Clinical, educational and industrial Psychology).

Stakeholders are CHWs, Puskesmas MH Staff, Psychologist, Psychiatrist, Head of Puskesmas, Staff of health Office.

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Title: Development and Evaluation of a Mental Health Training Program for Community Health Workers in Indonesia
Authors: Ariana Marastuti
M. A. Subandi
Sofia Retnowati
Carla R. Marchira
Courtney M. Yuen
Byron J. Good
Mary-Jo D. Good
Publication date: 01-10-2020
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 7/2020
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-020-00579-7

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Development and Evaluation of a Mental Health Training Program for Community Health Workers in Indonesia

Abstract

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